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Organization
PRIME MEDICAL GROUP PCG1
Active
Organization
PRIME MEDICAL GROUP PCG1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE NOEL (DIRECTOR PROVIDER ENROLMENT)
(412) 330-5861
Entity
Organization
Contact information
Practice address
1200 BROOKS LN STE 110, CLAIRTON, PA 15025-3749
(412) 466-5502
(412) 469-8948
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5861
(412) 330-5844
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Enumeration date
02/12/2009
Last updated
11/06/2020
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